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Scott Weingart. A Guide to Intubating through the Intubating Laryngeal Airway by James DuCanto. EMCrit Blog. Published on April 30, 2012. Accessed on January 21st 2019. Available at [http://emcrit.org/emcrit/guide-intubating-through-ila/ ].

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7 years ago. We never spam; we hate spammers! Spammers probably work for the Joint Commission.

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Minh Le Cong

Jimmy D owns the airway, not me!

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6 years ago

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Jimmy D

Thanks for posting it!

This guide is almost 7 years old, by the way.

I use this technique with both recognized difficult airways and unrecognized difficult airways. In recognized difficult airways, I will often place the Air-Q under moderate to deep sedation, ventilate the patient, squirt topical lidocaine through the mask to topicalize the airway and then intubate through the Air-Q with this technique. Refer to Mihn’s photos for a more “modern” shape that is suitable for this procedure–the shape shown in this guide corresponds to information I garnered 7 years ago during my initial discovery of this procedure. The stylet I use looks just like Mihn’s. I use the Air-Vu Plus. I do have a Levitan bent in this configuration, but I keep it as an emergency (just in case) stylet in a bag I keep in my vehicle.

To date, I have intubated more than 500 patients using this technique, and have used it to rescue colleagues of mine on almost 10 occasions.

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6 years ago

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Minh Le Cong

Folks, send me your airway, sedation and anaesthesia questions For Jim to answer when I interview him in an upcomng episode!